The dangerous case of Donald Trump: Robert Jay Lifton and Bill Moyers on ‘a duty to warn’

Renowned psychiatrist Robert Jay Lifton on the Goldwater Rule: We have a duty to warn if someone may be dangerous to others.
Robert Jay Lifton on the Goldwater Rule

There will not be a book published this fall more urgent, important, or controversial than The Dangerous Case of Donald Trump, the work of 27 psychiatrists, psychologists and mental health experts to assess President Trump’s mental health. They had come together last March at a conference at Yale University to wrestle with two questions. One was on countless minds across the country: “What’s wrong with him?” The second was directed to their own code of ethics: “Does Professional Responsibility Include a Duty to Warn” if they conclude the president to be dangerously unfit?

As mental health professionals, these men and women respect the long-standing “Goldwater rule” which inhibits them from diagnosing public figures whom they have not personally examined. At the same time, as explained by Dr. Bandy X Lee, who teaches law and psychiatry at Yale School of Medicine, the rule does not have a countervailing rule that directs what to do when the risk of harm from remaining silent outweighs the damage that could result from speaking about a public figure — “which in this case, could even be the greatest possible harm.” It is an old and difficult moral issue that requires a great exertion of conscience. Their decision: “We respect the rule, we deem it subordinate to the single most important principle that guides our professional conduct: that we hold our responsibility to human life and well-being as paramount.”

Hence, this profound, illuminating and discomforting book undertaken as “a duty to warn.”

The foreword is by one of America’s leading psychohistorians, Robert Jay Lifton. He is renowned for his studies of people under stress — for books such as Death in Life: Survivors of Hiroshima (1967), Home from the War: Vietnam Veterans — Neither Victims nor Executioners (1973), and The Nazi Doctors: Medical Killing and the Psychology of Genocide (1986). The Nazi Doctors was the first in-depth study of how medical professionals rationalized their participation in the Holocaust, from the early stages of the Hitler’s euthanasia project to extermination camps.

The Dangerous Case of Donald Trump will be published Oct. 3 by St. Martin’s Press.

Here is my interview with Robert Jay Lifton — Bill Moyers

Bill Moyers: This book is a withering exploration of Donald Trump’s mental state. Aren’t you and the 26 other mental health experts who contribute to it in effect violating the Goldwater Rule? Section 7.3 of the American Psychiatrist Association’s code of ethics flatly says: “It is unethical for a psychiatrist to offer a professional opinion [on a public figure] unless he or she has conducted an examination and has been granted proper authorization.” Are you putting your profession’s reputation at risk?

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